Essentials of Pediatric Nursing 3rd Edition Kyle Test Bank

https://www.facebook.
com/testbankmagic/
FULL Test Bank - https://studentmagic.indiemade.com/
Order TEST BANK - industrialist.bloom@gmail.com
https://docmerit.com/user/vladislav
https://www.facebook.com/testbankmagic/
Essentials Of Pediatric Nursing 3rd

Edition Kyle Test Bank
Origin:Chapter1,1
1. The nurse providing family-centered care in a hospital setting reflects on the focus
ofthe health care provided in today's society. Which statement best describes the
currentdefinitionofhealth?
A) Healthisdescribed as'anabsenceofdisease.'
B) Healthismeasuredby monitoringmortalityandmorbidity ofagroup.
C) Healthisastateof completephysical,mental,andsocialwell-being.
D) Technologicalgainsmadeinhealth carearesharedequally amongall
children.Ans:C
Feedback:
Inthepast,healthwasdefinedsimplyastheabsenceofdisease;healthwasmeasuredbymonitori
ng the mortality and morbidity of a group. Over the past century, however, thefocus of
health has shifted to disease prevention, health promotion, and wellness. TheWorld
Health Organization (2013) defines health as "a state of complete physical,mental, and
social well-being, and not merely the absence of disease or infirmity." Thegains in child
health have been huge, but, unfortunately, these gains are not sharedequallyamong all
children.
Origin:Chapter1,2
2. Thestudent nurseislearning about thepast history ofchild health andhealth carein
theUnited States. Which statement accurately reflects the condition of health care in
thepastand current centuries?
A) In past centuries in theUnNitU edRSSItNaG
teTsB
,.tChO
eM
health ofthe country wasbetter than it is
today dueto thesimpler styleof living.
B) Inthe currentcentury,mortalityratesarehigh,butlifeexpectancyhasincreaseddueto
technological advances.
C) Inthelateeighteenthand
earlynineteenthcenturiesurbanpublichealthimprovementsmadecities
healthierplaces forgrowingchildren.
D) Bythelatetwentiethcenturyunintentionalinjuriesratherthaninfectiousdiseaseshadbe
come theleadingcauseof deathforchildrenolderthan1 year old.
Ans:D
Feedback:
In past centuries in the United States, the health of the country was poorer than it
istoday;mortality rateswerehighand lifeexpectancy was short.Over theyears thehealthof
children received more and more attention, leading to a better understanding ofsources
of illness and improvements in sanitation, water, and nutrition. As a result, bythe late
twentieth century unintentional injuries rather than infectious diseases
hadbecometheleading causeof deathforchildren olderthan 1 year old.
Origin:Chapter1,3
3. Thenurseis administeringanumberof therapeuticinterventions forneonates,infants,and
children on the pediatric unit. Which intervention contributes to an increase
inchronicillness seen in early childhood?
A) Administeringantibioticstopreventlethalinfections
B) Vaccinatingchildrentopreventchildhooddiseases
C) Usingmechanicalventilationforprematureinfants
D) UsingcorticosteroidsasatreatmentforasthmaAn
s:C
Feedback:
Usingmechanicalventilationandmedicationstofosterlungdevelopmentinprematureinfant
s increases their survival rate. Yet the infants who survive are often faced withmyriad
chronic illnesses. Administering antibiotics to prevent lethal infections,vaccinating
children to prevent childhood diseases, and using corticosteroids as atreatment for
asthma may cause side effects, but do not contribute to chronic illness inchildren.
Origin:Chapter1,4
4. ThenurseisreviewingacopyoftheU.S. SurgeonGeneral's Report,HealthyPeople.
Whichnursingaction bestreflectsthenursefosteringthishealthcare agenda?
A) Thenursesigns upforclasses toobtain an advanceddegreein nursing
B) Thenursevolunteersata localhealthcareclinicprovidingfreevaccinationsfor
low-incomepopulations NURSINGTB.COM
C) Thenurseperformsanin-serviceonbasichospitalequipmentforstudentnurses
D) The nurse compiles nursing articles on evidence-based practices in nursing
topresentat ahospital training seminar
Ans:B
Feedback:
HealthyPeopleisa comprehensivehealthpromotionanddiseasepreventionagendathatis
working toward improving the quantity and quality of life for all Americans
(U.S.Department of Health and Human Services, 2010). Overarching goals are to
eliminatepreventable disease, disability, injury, and premature death; achieve health
equity,eliminate disparities, and improve the health of all groups; create physical and
socialenvironments that promote good health; and promote healthy development
andbehaviors across every stage of life. Volunteering at a local health care clinic
directlyreflects the goal of improving the health of all groups of people. Signing up for
classes,performing in-services on equipment, and compiling nursing articles on
evidence-basedpractices in nursing are all worthwhile activities that foster health care
delivery, but arenotas directly linkedto theagendaofpromotinghealth in thecommunity.
Origin:Chapter1,5
5. The neonatal nurse researches the neonatal and mortality rates in the United
States.Whichstatementsaccuratelydescribethesemeasurementsofchildhealth?
Selectallthat apply.
A) Neonatalmortalityisthenumberofinfant deathsoccurringinthefirst28daysoflifeper
1,000 livebirths.
B) Theinfantmortalityrate refers tothenumberofdeaths occurringinthefirst
6monthsof life.
C) Neonatal mortality is documented as the number of deaths in relation to 1,000
livebirths.
D) Theinfantmortality rate isused asan indexofthegeneralhealthof acountry.
E) In2007,theinfantmortalityrate intheUnitedStateswas 6.8per1,000live births.
F) Theinfantmortalityrate isconsistentfromstatetostateaswellasbetween ethnicgroups.
Ans:A,C, D, E
Feedback:
Neonatal mortality is the number of infant deaths occurring in the first 28 days of
lifeper 1,000 live births. The infant mortality rate refers to the number of deaths
occurringin the first 12 months of life and is documented as the number of deaths in
relation to1,000livebirths. Theinfant mortalityrate isusedasan indexofthegeneral
healthof acountry; generally, this statistic is one of the most significant measures of
children'shealth. In 2007, the infant mortality rate in the United States was 6.8 per
1,000 livebirths.Theinfantmortalityratevariesgreatlyfromstatetostateaswellasbetween
ethnicgroups. NURSINGTB.COM
Origin:Chapter1,6
6. Thenurseresearcher investigatesthemorbidityrate inthe
UnitedStates.Whichstatementaccurately reflects this concept?
A) Morbiditymeasuresthe prevalenceofaspecificillnessin
apopulationataparticulartime.
B) Morbidityispresented inratesper 100,000population.
C) Morbiditystatistics arerevised morefrequently becauseoftheeasein
definingorobtainingtheinformation.
D) Ingeneral,76%of childrenintheUnitedStatesenjoyedexcellenthealth
and27%hadvery good health in a2007 report.
Ans:A
Feedback:
Morbidity is the measure of prevalence of a specific illness in a population at
aparticular time. It is presented in rates per 1,000 population. Morbidity is often
difficultto define and record because the definitions used vary widely. For example,
morbiditymay be defined as visits to the physician or diagnosis for hospital admission.
Also, datamaybedifficult toobtain.Morbidity statisticsarerevisedlessfrequently
becauseofthedifficulty in defining or obtaining the information. In general, 56% of
children in theUnited States enjoyed excellent health and 27% had very good health as
reported in asummaryofhealth statistics forchildren in 2007.
Origin:Chapter1,7
7. When assessing afamily forbarN riU
erRsStIoNhGeTaBlt.C
hOcM
are, the nursedocumentschecks for
psychosocialbarriers. Whatis an exampleof thistypeofhealth caredeficit?
A) Academicdifficulties
B) Respiratoryillness
C) Poorsanitation
D) Inheriteddiseases
Ans:A
Feedback:
Environmental and psychosocial factors are now an identified area of concern
inchildren. They include academic differences, complex psychiatric disorders, self-
harmandharmtoothers,useoffirearms,hostilityatschool,substanceabuse,HIV/AIDS,andad
verse effects of the media. Respiratory illness and inherited diseases are
healthproblems,and poorsanitation is an environmentalfactor.
Origin:Chapter1,8
8. Whenintegratingtheprinciplesoffamily-
centeredcare,thenursewouldincludewhichconcept?
A) Parentswantnursestomakedecisionsabouttheirchild'streatment.
B) Familiesareunabletomakeinformed choices.
C) Peoplehavetakenincreasedresponsibilityfortheirownhealth.
D) Familiesrequirelittleinformationtomakeappropriatedecisions.Ans
:C
Feedback:
Due to the influence of managed care, the focus on prevention, better education,
andtechnologicaladvances,
peoplehavetakenincreasedresponsibilityfortheirownhealth.Parents now want
information about their child's illness, to participate in
makingdecisionsabouttreatment,andtoaccompanytheir childrentoallhealthcaresituations.
Origin:Chapter1,9
9. The nurse is caring for a 2-week-old girl with a metabolic disorder. Which
activitywoulddeviatefrom the characteristics of family-centeredcare?
A) Softeningunpleasantinformationorprognoses
B) Evaluatingandchangingthenursingplanofcare
C) Collaboratingwiththechildandfamilyasequals
D) Showingrespectforthefamily'sbeliefsandwishesAns
:A
Feedback: NURSINGTB.COM
Family-centeredcarerequiresthatthenurseprovideopenandhonestinformationto
thechildandfamily.It isinappropriatetosoften unpleasantinformationor prognoses.
Evaluating and changing the nursing plan of care to fit the needs of the child and
family,collaborating with them as equals, and showing respect for their beliefs and
wishes areguidelinesfor family-centered care.
Origin:Chapter1,10
10. The nurse is caring for a 14-year-old girl with multiple health problems. Which of
thefollowingactivities would bestreflect evidence-basedpracticebythe nurse?
A) Followingbloodpressuremonitoringrecommendations
B) Determininghowoftenthevitalsignsaremonitored
C) Usinghospitalprotocolfororderingdiagnostictests
D) DecidingtheprescribedmedicationdoseA
ns:A
Feedback:
Using hospital protocol for ordering a diagnostic test, determining how often the
vitalsignsaremonitored,anddecidingthemedicationdoseorderedwouldbethephysician'sres
ponsibility. However, following blood pressure monitoring recommendations
wouldbepart of evidence-based practicereflectedin thenursingcare delivered.
Origin:Chapter1,11
11. The nurse is caring for a 10-year-old boy with a neuroblastoma. Which activities
bestdescribe the role of the nurse as a care coordinator, collaborator, and consultant?
Selectallthat apply.
A) Collaboratingwiththefamilythroughoutthecare path
B) Advancingtheinterestsofchildrenandtheirfamiliesbyknowingtheir needs
C) Informingchildrenandfamiliesoftheirrightsandoptions
D) Coordinatingcareprovidedbytheinterdisciplinaryteam
E) Ensuring that the child's and family's needs are met through activities such
assupportgroups
F) Providingappropriateclienteducationbasedonthechild'sdevelopmentallevelAns:
A, D,E
Feedback:
The pediatric nurse serves as a collaborator, care coordinator, and
consultant.Collaborating with the interdisciplinary health care team, the pediatric nurse
integratesthe child's and family's needs into a coordinated plan of care. In the role of
consultant,the pediatric nurse ensures that the child's and family's needs are met through
suchactivities as support group facilitation or working with the school nurse to plan
thechild's care. In the role as a child and family advocate, the nurse safeguards
andadvances the interests of children and their families by knowing their needs
andresources, informing them of their rights and options, and assisting them to
makeinformeddecisions.Intheroleof educator,
thenurseinstructsandcounselschildrenandtheir families about all aspects of health and
illness. In this role the pediatric nurse alsoensures that communication
withNUthReScIN
hiGldTBa.nCdOfMamily is based on the child'sage and developmentallevel.
Origin:Chapter1,12
12. The pediatric nurse operates according to the standards of professional
performanceaccordingtotheAmericanNursesAssociation(ANA)ScopeandStandardsofPe
diatricNursing Practice. Which statements accurately reflect these standards? Select all
thatapply.
A) Thepediatricnurseusesresearch findingsin practiceand
participatesinthegenerationofnew knowledge.
B) Thepediatricnurseplans anddelivers
safe,effectivenursingcareregardlessofthecost and its impact on practice.
C) Thepediatric nurseacts asan advocateforthehospital staff,physicians,
andotherhealthcareteam members involved in careof thechild.
D) Thepediatricnurse'sdecisionsandactionsinallareasofpractice aredeterminedinan
ethical manner.
E) Thepediatricnursecollaborates withthechild,family, andphysicianin
providingcareforthechild.
F) Thehealthcareadministrators,notthepediatricnurses,areresponsibleforimpro
vingthequalityand effectivenessofpediatric nursingpractice.
Ans:A,D, E
Feedback:
According to the ANA Scope and Standards of Pediatric Nursing Practice, the
pediatricnurse uses research findings in practice and participates in the generation of
newknowledge; considers factors related to safety, effectiveness, cost in planning
anddelivering care, and the impact on practice; and is an advocate for the child and
family.Thepediatric nurse's decisionsaNnU
dRaScItN
ioGnTsBin.CaOlM
l areas of practicearedetermined in
an ethicalmanner.Thepediatricnursecollaborates
withthechild,family,andphysicianinproviding care for the child, and systematically
improves the quality and effectivenessofpediatric nursing practice.
Origin:Chapter1,13
13. Thenurseisprovidinghomecarefora6-year-oldgirlwithmultiplemedical
challenges.Whichactivities arepart of theeducatorrole of thenurse?Select allthat apply.
A) Arrangingforaphysicaltherapysession
B) Teachingparentstoadministeralbuterol
C) Remindingaparent togive afullcourseofantibiotics
D) GivingaDTaPvaccinationattheproperinterval
E) Showingtheparentshow toperformproperhandhygiene
F) Integratingresearchfindingstoestablishevidence-
basedpracticeAns:B, C, E
Feedback:
Teaching parents to administer albuterol, reminding a parent to give the full course
ofantibiotics, and showing them how to perform proper hand-hygiene involves the role
ofthe nurse as an educator. Arranging for a physical therapy session, giving a
DTaPvaccination at the proper interval, and integrating research findings to
establishevidence-basedpracticeareexamples of caremanagement.
Origin:Chapter1,14
14. The nurse is functioning in the primary role to care for a 12-year-old boy
withmetastaticcancer intheliver. Which activity is typicalof advocacy?
A) Instructingparentsabout properhomecare
B) Educatingthefamilyaboutchoicestheyhave
C) Tellingparentsaboutclinicalguidelines
D) TeachingthefamilyabouttypesofcancersAn
s:B
Feedback:
Educating the family about choices they have regarding therapies for the cancer in
thechild'sliverisanexampleofadvocacy,inwhichthenurseadvancestheinterestsofthechild
and family by informing them of options and assisting them to make informeddecisions.
Telling parents about proper home care, clinical guidelines, and the types ofcancersareall
donein theprimary role of educator.
Origin:Chapter1,15
15. Thenurseisproviding carefor a9-year-old girlwho ismedically fragile.Which
isanexampleof thenursing role ofcollaboration?
A) Informingtheteammembersoftheprogressoftreatment
B) Discussingthechild'sneedswith aschoolnurse
C) Advisingthepulmonologistofrespiratorysymptoms
D) Arranging for after-schoolNaUttReSnIdNaGnTcB
e.aCtOaMdaycarefacility
Ans:A
Feedback:
Informing team members of the progress of treatment is an act of
collaboration.Discussingthe child's needs withaschool nurseisdonein theroleofa
consultant.Advising the pulmonologist of respiratory symptoms and arranging
after-schoolattendanceat a daycarefacility arecarecoordinator activities.
Origin:Chapter1,16
16. Thenurseisproviding careto anill childandhis family.Which activityreflects
theuseoftheassessment step of the nursing process whenproviding care forchildren?
A) Collectingdataaboutthe childandfamily
B) Analyzingdatatomakejudgmentsaboutthechild'shealthstate
C) Evaluatingcareprovidedbytheinterdisciplinaryteam
D) DevelopingacareplanthatincorporateschildgoalsAns
:A
Feedback:
Thenursingprocess isapplicableto allhealthcare settingsandconsists
offivesteps:assessment, nursing diagnosis, outcome identification and planning,
implementation,and outcome evaluation. Collecting data about the child and family
occurs in theassessment step of the nursing process. Analyzing data to make
judgments about thechild's health state involves nursing diagnosis, evaluating care
provided by theinterdisciplinary team is performed in the outcome evaluation, and
developing a careplanthat incorporates child goals occurs in theplanning stage.
Origin:Chapter1,17
17. The nurse is caring for a 14-year-old boy with a growth hormone deficiency.
Whichaction best reflects using the nursing process to provide quality care to
children andtheirfamilies?
A) Reviewingtheeffectivenessofinterventions
B) Questioning thefacility staNnUdRaSrdINs GfoTrBc.CaO
reM
C) Earningcontinuingeducationcredits
D) EnsuringreasonablecostsforcareprovidedAn
s:A
Feedback:
The nursing process is used to care for the child and family during health
promotion,maintenance, restoration, and rehabilitation. It is a problem-solving method
based on thescientific method that allows nursing care to be planned and implemented
in a thorough,organized manner to ensure quality and consistency of care. The nursing
process isapplicable to all health care settings and consists of five steps: assessment,
nursingdiagnosis, outcome identification and planning, implementation, and
outcomeevaluation.Reviewingtheeffectivenessofinterventionsisrelatedtooutcomeevaluat
ion in the nursing process. Even though the three remaining answer options arevaluable
in ensuring quality of care in health care facilities, they do not involve thedirectcareof
thechild and familyusing the nursing process.
Origin:Chapter1,18
18. The nurse is caring for a newborn infant who has Down syndrome. Which
nursingactionreflects thenurse'suseoftheethical principleofnonmaleficence?
A) Thenursespeakstruthfully to theparents regarding theirchild's prognosis.
B) Thenurseprovides safe,competent nursing careto avoid harmingthe infant.
C) Thenurseinvolvesthe parentsin makinghealth caredecisions fortheirchild.
D) Thenursefairlyallocatesresourcesforcaringfor
newbornsinafacility.Ans:B
Feedback:
Ethics includes the basic principles of autonomy, beneficence, nonmaleficence,
justice,veracity, and fidelity. Nonmaleficence means avoiding causing harm,
intentionally orunintentionally. One example is providing safe, competent nursing care.
Speakingtruthfullytotheparentsisanexampleofveracity.Generally,parentshave
theautonomyto make health care decisions for their child. Justice refers to acting fairly,
and alsoinvolvesallocating resources fairly.
Origin:Chapter1,19
19. The nurse is caring for a premature infant and his mother who are scheduled
fordischarge even though the nurse feels the mother is not emotionally equipped to
returnhome. When balancing the ethical components of this dilemma, the nurse
identifies theproblem and gathers more information. What would be the nurse's next
step in thisprocess?
A) Chooseasolution based oN n UaR
vaSiIlNaG
blTeBd.CaO
taM
B) Implement asolutionregardlessofpros andcons
C) Weightherisks againstthebenefits
D) Evaluate possible outcomes of the
situationAns:C
Feedback:
Thepediatricnursemustbalancetheseethicalcomponentswhendealingwith familiesfrom
a variety of cultural and religious backgrounds who are making health caredecisions
for their children. The process is as follows: (1) identify the problem, (2)gather
information about the problem, (3) weigh the risks against the benefits, (4)choose a
solution, (5) implement the solution, and (6) evaluate the outcome of thesituation.
Origin:Chapter1,20
20. Apreschool childis scheduledto undergoadiagnostictest.Which actionby
thenursewouldviolate achild's bill of health carerights?
A) Arrangingforhermother tobewithher
B) Tellingthechildthe testwill nothurt
C) Assuringthechild that the test will be donequickly
D) IntroducingthechildtothelabtechniciansAn
s:B
Feedback:
Tellingthechild thetestwill nothurtlacks veracity.It isnotalie,butit doesnothonorthe
child's right to be educated honestly about his or her health care. Arranging for
themother to be with the child, assuring the child that the test will be done quickly,
andintroducing the child to the lab technicians are actions that honor the child's bill
ofhealthcarerights.
Origin:Chapter1,21
21. Thepediatric nurseknowsthat thechildrensheis treatingareconsidered
minors.Whichstatementaccuratelydescribestheregulationsrelatedtoconsentformedicaltre
atment?
A) Childrenolderthanage16 canprovidetheirown consentfor,orrefusal
of,medicalprocedures.
B) Aguardianadlitemmay beappointed bytheparents toserveto protectthe
child'sbestinterests.
C) Parents ultimately aretheN deUcRisSiIoNnGm
T Ba.kCeOrsMregarding medical treatment fortheir
childrenyounger than the ageof 18.
D) Whendivorceoccurs, the parent withwhomthe childis livingon
adailybasiswillbegranted custody of thechild.
Ans:C
Feedback:
Parents ultimately are the decision makers for their children. Generally, only
personsover the age of majority (18 years of age) can legally provide consent for health
care.Minors (children younger than 18 years of age) generally require adult guardians to
acton their behalf. Biological or adoptive parents are usually considered to be the
child'slegal guardian. When divorce occurs, one or both parents may be granted custody
of thechild. In certain cases (such as child abuse or neglect, or during foster care), a
guardianad litem may be appointed by the courts. This person generally serves to
protect thechild'sbest interests.
Origin:Chapter1,22
22. Thenurseis caringfora 12-year-old childhospitalized forinternal injuriesfollowing
amotor vehicle accident. For which medical treatment would the nurse ensure that
aninformedconsent is completed beyond the onesignedat admission?
A) Diagnosticimaging
B) Cardiacmonitoring
C) Bloodtesting
D) Spinal
tapAns:DFeedb
ack:
Most care given in a health care setting is covered by the initial consent for
treatmentsigned when the child becomes a patient at that office or clinic or by the
consent totreatment signed upon admission to the hospital or other inpatient facility.
Certainprocedures, however, require a specific process of informed consent, including
majorand minor surgery; invasive procedures such as lumbar puncture or bone
marrowaspiration; treatments placing the child at higher risk, such as chemotherapy or
radiationtherapy; procedures or treatments involving research; photography involving
children;andapplying restraints tochildren.
Origin:Chapter1,23
23. A child needs a consent form signed for a minor surgical procedure. Which
statementaccuratelydescribestheresponsibilities
ofthehealthcareproviderswhenobtainingthe
consent? NURSINGTB.COM
A) Thephysicianis responsibleforensuring thatthe consentform
iscompletedwithsignaturesfrom theparents or legal guardians.
B) Thephysician isresponsible forservingasawitnessto thesignatureprocess.
C) Thenurseisresponsible forinforming thechildand familyabout
theprocedureandobtaining consent.
D) Thenurseis responsiblefor determiningthat theparents
orlegalguardiansunderstandwhat theyare signingby askingthem
pertinentquestions.
Ans:D
Feedback:
The nurse's responsibility related to informed consent includes the
following:determining that the parents or legal guardians understand what they are
signing byasking them pertinent questions, ensuring that the consent form is completed
withsignatures from the parents or legal guardians, and serving as a witness to the
signatureprocess. The physician or advanced practitioner providing or performing the
treatmentand/or procedure is responsible for informing the child and family about the
procedureandobtainingconsentbyprovidingadetaileddescriptionoftheprocedure
ortreatment,thepotential risks and benefits, andalternativemethods available.
Origin:Chapter1,24
24. Thenurseis caringfor achildbroughtto theemergencydepartment byababysitter. Thechild
needs an emergency appendectomy and the parents cannot be contacted.
Whatwouldbethe nurse's bestresponse to this situation?
A) Havethebabysittersignthe consentformevenifshedoesnothavesigned papersto do
so.
B) Havetheprimarycarephysicianforthechild signtheconsentform.
C) Documentfailed attemptstoobtainconsenttoallowemergencycare.
D) Delaymedicalcareuntil thechild'snextof
kincanbecontacted.Ans:C
Feedback:
Health care providers can provide emergency treatment to a child without consent
ifthey have made reasonable attempts to contact the child's parent or legal
guardian(American Academy of Pediatrics, Committee on Pediatric Emergency
Medicine,2007). If the parent is not available, then the person in charge may give
consent
foremergencytreatmentifthatpersonhasasignedformfromtheparentorlegalguardianallow
ing him or her to do so. During an emergency situation, a verbal consent via
thetelephone may be obtained. In urgent or emergent situations, appropriate medical
carenevershould bedelayedor withheld due toan inability to obtainconsent.
Origin:Chapter1,25
25. The nurse knows that the emancipated minor is considered to have the legal capacity
ofan adult and may makehis or heNrUoR
wSnINhG
eaTlBth.CcOaM
redecisions.Which ofthe following
childrenwould potentially be considered an emancipatedminor?
A) Aminor withfinancial independencewho isliving withhis parents
B) Aminorwho ispregnant
C) Achild olderthan 13years ofage who asksforemancipation
D) AminorwhoputshisorhermedicaldecisionsinwritingAns:
B
Feedback:
Emancipation may be considered in any of the following situations, depending on
thestate's laws: membership in a branch of the armed services, marriage, court-
determinedemancipation,financialindependenceandliving
apartfromparents,collegeattendance,pregnancy,mother younger than 18years of age,and
arunaway.
Origin:Chapter1,26
26. After describing the procedure and medical necessity, the nurse asks a 14-year-old
childto assent to a skin graft. Which statement accurately describes the requirements for
thistype ofassent?
A) Theageofassent occurs at 12years old.
B) Itisnotnecessaryto obtainassentfroma minorforaprocedure.
C) Aminorcandissent toa procedurebuthisor her wishesarenotbinding.
D) Insome cases,suchascasesofsignificantmorbidityormortality,dissentmayneedto
be overridden.
Ans:D
Feedback:
Assent means agreeing to something. In pediatric health care, the term assent refers
tothe child's participation in the decision-making process about health care
(McCullough& Stein, 2009). In some cases, such as cases of significant morbidity or
mortality,dissent may need to be overridden. The age of assent depends on the
child'sdevelopmental level, maturity, and psychological state. The converse of assent,
dissent(disagreeing with the treatment plan), when given by an adolescent 13 to 17
years ofage,is considered binding in some states.
Origin:Chapter1,27
27. Thenurseishelping thefamilyofaterminallyillchildto
filloutanadvancedirectivesform.Whichoptionsareusuallydeterminedby
thisdocument?Select allthatapply.
A) Withholdingfood NURSINGTB.COM
B) Withholdingwater
C) Withholdingantibiotics
D) "Donotattemptresuscitate"(DNAR) orders
E) Withholdingventilation
F) Providingartificialnutrition
Ans:C,D, E, F
Feedback:
Advance directives determine the child's and family's wishes should life-sustaining
carebecome necessary. After discussion with other family members, friends, and
spiritualadvisors, the parents may make the decision to forego life-sustaining medical
treatment,eitherwithdrawingtreatmentordecidingto withholdcertainfurthertreatmentoropt
notto resuscitate in the event of cardiopulmonary arrest. Food and water are not
withheld;however, some children may not be able to drink or eat and artificial nutrition
may bewithheld.
Origin:Chapter1,28
28. Whenintegratingtheprinciplesoffamily-centeredcare,thenursewouldNOTincludewhich
ofthefollowing?
A) Parentswanttomakedecisionsabouttheirchild'streatment.
B) Familiescanmakeinformedchoices.
C) Peoplehavetaken lessresponsibilityfortheirownhealth.
D) Familiesrequiremoreinformationtomakeappropriatedecisions.Ans
:C
Feedback:
Due to the influence of managed care, the focus on prevention, better education,
andtechnologicaladvances,
peoplehavetakenincreasedresponsibilityfortheirownhealth.Parents now want
information about their child's illness, they want to participate inmaking decisions
about treatment, and they want to accompany their children to allhealthcaresituations.
Origin:Chapter1,29
29. The school nurse monitors the amount of physical activity children in a local
elementaryschool have planned for each day. This data will help most in meeting which
foundationhealthmeasureof Healthy People 2020?
A) Generalhealthstatus
B) Health-relatedqualityof lifeandwell-being
C) Determinantsofhealth
D) Disparities NURSINGTB.COM
Ans:BFeedback
:
Participation in common activities, which would include physical activity during
theschool day, is included in the foundation health measure of Health-related quality of
lifeand well-being. The General health status measure includes measures such as
physicallyand mentally unhealthy days, life expectancy, and chronic disease prevalence.
Biology,genetics,andindividualbehaviorareincluded intheDeterminants ofhealthmeasure.
Race/ethnicity,gender,andgeographyaremeasuresofDisparities.
Origin:Chapter1, 30
30. The nurse is preparing a presentation regarding prevention of the unintentional
injuriesof drowning and bicycle accidents resulting in death. The population attending
thepresentation are parents of children ages 1 to 14. Which groups of parents would be
bestforthe nurseto targetwhen preparing this presentation?Select all that apply.
A) AmericanIndianparents
B) Parentsoffemalechildren
C) Parentswholivein governmentsubsidizedhousing
D) Singleparents
E) AsianAmericanparents
Ans:A, C, D
Feedback:
Unintentionalinjuriesarethenumberonecauseof deathinchildrenbetweentheagesof1 and
14 in the United States. Risk factors associated with childhood injuries includemale
gender, low socioeconomic status, parents who are unmarried or single, poorhousing,
and the highest rates of death are seen in American Indian/Alaska
Nativeschildren,followed by African American children.
Origin:Chapter1,31
31. Theschool nurseis reviewingthe recordsofstudents inan elementaryschool.
Basedoncurrent child morbidity rates, which child is the nurse most careful to monitor
for daysmissedfrom school?
A) Achildwithasthma NURSINGTB.COM
B) Achildwithcontactdermatitis
C) Achildwith severehayfever
D) AchildwithfoodallergiesA
ns:A
Feedback:
Morbidity refers to illness present in a specific population at a given time. Asthma is
theleading chronic disease in children, affecting 14% of children in the United States;
13%ofchildrensufferfromskinallergies, 9%havehayfever, and 6%havefoodallergies.
Origin:Chapter1,32
32. The nurse in charge of the quality department is reviewing cases regarding
HIPAAcompliance.
InwhichcasesdoesthenursecorrectlydeterminethatHIPAAstandardswerefollowed?Sel
ect allthat apply.
A) A child is diagnosed with an inner ear infection and follow-up care
instructionsare given to the child's aunt, who provides a medical consent form
from theparents,who areon vacation.
B) Theemergencydepartment nursemanager reportsthe suspicionof
abusetothechildwelfaredepartmentforachild admitted withsuspicious injuries.
C) Thegrandparentsofachildaskthenurseonthemedicalfloorwhentheirgrandch
ildwill bereleased home to the parents.
D) The physician reports the diagnosis of hepatitis C of a 14-year-old, who is
abusinginjectabledrugs, to thehealth department.
E) Thenursemanager tells thesuperintendent of schools thata high school
studentisinfectedwith HIVso that properprecautions can beimplemented inthe
school.
Ans:A,B, D
Feedback:
The Health Insurance Portability and Accountability Act (HIPAA) of 1996
addressessecurity and privacy issues involving health information about individuals.
Informationcan be shared with the client's aunt because medical consent has been
granted by thelegal parents. An exception to the rule is the requirement to report
suspected physical orsexual abuse of a child. In addition, public health laws require
reporting certaininfectious diseases, such as hepatitis C. The nurse should not provide
information to thegrandparentswithout written conNsUeR ntSIfN
roGm
TBth
.CeOlM
egal parents or
guardian, nor should the nurse discuss a client's health with the school superintendent.
This information shouldbeshared only with local health department.

Essentials of Pediatric Nursing 3rd Edition Kyle Test Bank

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Essentials of Pediatric Nursing 3rd Edition Kyle Test Bank

Uploaded by

Copyright:

Available Formats

https://www.facebook.

FULL Test Bank - https://studentmagic.indiemade.com/

Order TEST BANK - industrialist.bloom@gmail.com

Essentials Of Pediatric Nursing 3rd

You might also like